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Connecticut rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.26 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,954.92 / $3,715.26 / $7,775.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.62 / $5,053.31 / $5,926.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,518.26 / $3,736.73 / $5,904.97
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,193.91 / $3,193.91 / $3,528.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.27 / $3,647.06 / $8,530.57